Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Amelia Dee Jackson, NP-C

Individual provider Nurse Practitioner · NPI 1093105918

Amelia Dee Jackson, NP-C is a Nurse Practitioner in Gravette, Arkansas. Qualified in 2008, 18 years ago. Practices with Sgoh Acquisition Inc, a 93-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Arkansas.

Years since qualifying
18
Licensed in
AR
In the registry since
2015
What do these letters mean?
NP-C — Nurse Practitioner, Certified
A nurse practitioner certified by the AANP.

See every abbreviation used in this directory →

Practice location Address checks out

1101 Jackson St SW
Gravette, AR 72736-9121
Phone: (479) 787-5221
Fax: (479) 787-9692
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 1502 Se 28th St, Bentonville, AR 72712-3988 — (501) 773-6993
  • 1502 Se 28th St, Bentonville, AR 72712-3988 — (501) 773-6993

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence A004287 (AR)

Record details

NPI number1093105918
Entity typeIndividual (Type 1)
GenderFemale
Credentials NP-C
Sole proprietorNo
NPI enumeratedJanuary 30, 2015
Last updated in NPPESOctober 13, 2023
Certification dateOctober 13, 2023
Mailing address1101 Jackson St Sw, Gravette, AR 72736-9121

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2008 (18 years in practice)
Group practice Sgoh Acquisition Inc — 93 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations5 on file with Medicare

Other providers in Gravette